While I've learned not to worry too much about it, I'd be lying if I said I didn't struggle with it. In my better-feeling, more rational(?) modes, I can feel like I'm decent in terms of "conventional" attractiveness, or at least average. But I have times where I can only look at myself with disgust. I also struggle with rather severe social inadequacy problems that go far beyond body image, but surrounding my worth as a human being in general. How I judge my outward appearance at any given moment is very dependent on how I'm doing with those broader feelings of worthlessness, so it's all tied together.